EP2873399B1 - Personentragevorrichtung - Google Patents

Personentragevorrichtung Download PDF

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Publication number
EP2873399B1
EP2873399B1 EP13193366.5A EP13193366A EP2873399B1 EP 2873399 B1 EP2873399 B1 EP 2873399B1 EP 13193366 A EP13193366 A EP 13193366A EP 2873399 B1 EP2873399 B1 EP 2873399B1
Authority
EP
European Patent Office
Prior art keywords
leg
frame
lower frame
person support
extension piece
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Not-in-force
Application number
EP13193366.5A
Other languages
English (en)
French (fr)
Other versions
EP2873399A1 (de
Inventor
Andreas Pietsch
Günther Dorenbeck
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Voelker GmbH
Original Assignee
Voelker GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Voelker GmbH filed Critical Voelker GmbH
Priority to EP13193366.5A priority Critical patent/EP2873399B1/de
Publication of EP2873399A1 publication Critical patent/EP2873399A1/de
Application granted granted Critical
Publication of EP2873399B1 publication Critical patent/EP2873399B1/de
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/012Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame raising or lowering of the whole mattress frame
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00Stretchers
    • A61G1/013Stretchers foldable or collapsible
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00Stretchers
    • A61G1/04Parts, details or accessories, e.g. head-, foot-, or like rests specially adapted for stretchers
    • A61G1/052Struts, spars or legs
    • A61G1/056Swivelling legs
    • A61G1/0562Swivelling legs independently foldable, i.e. at least part of the leg folding movement is not simultaneous
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00Stretchers
    • A61G1/02Stretchers with wheels

Definitions

  • the present invention is concerned with person support apparatus, such as a bed and with a mechanism suitable for adjusting the height and orientation of a person support surface mounted on that bed. It is more particularly suitable for a hospital or long-term care (LTC) bed.
  • person support apparatus such as a bed
  • LTC long-term care
  • Person or patient support apparatus such as hospital and long-term care beds, typically include a deck and a support surface, such as a mattress, supported by the deck.
  • Such apparatus is often provided with a mechanism for adjusting the height of the deck and hence support surface above the floor on which the apparatus is located, and to control the orientation or inclination of the support surface relative to the floor. Adjustment of the height is helpful to allow care givers to access the patient, and to facilitate patient movement into and out of the bed.
  • the inclination of the person support surface is desirable so as to make the patient more comfortable, or to, for example, take up the Trendelenburg position in which the body is laid flat on the back (supine position) with the feet higher than the head by 15-30 degrees, or the reverse Trendelenburg position, where the body is tilted in the opposite direction.
  • the existing adjustable beds allowing the support surface to be placed in the Trendelenburg or reverse Trendelenburg positions are of two main types.
  • the legs or support elements engage the floor directly via a castor at their bottom end and the distance between the head and foot castors changes to reflect the modified geometry as the person support surface is moved from the horizontal position to either the Trendelenburg or the reverse Trendelenburg position.
  • the lower portion of the leg support assemblies are slidably connected to a horizontal lower rail or frame on which the castors are mounted.
  • the necessary change in distance between the lower portions of the legs and support assemblies coupled to the horizontal rails is accommodated by a sliding movement of those lower leg ends along or relative to those rails.
  • the arrangement with the legs without the lower rails or frame makes for a relatively unstable structure whereas the mechanism with the legs sliding relative to a lower frame is more stable but the sliding mechanisms are prone to failure and cause abrasion on the surface of the lower rail or rails.
  • CN 202173539 discloses a medical bed operated by a manual or an electric vertical lift as set out in the preamble to claim 1.
  • the present invention provides apparatus as defined in Claim 1 to which reference should now be made.
  • Claim 1 results in a bed which is robust and stable and can accommodate the changes in geometry necessary for movement or adjustment between the horizontal, Trendelenburg and reverse Trendelenburg positions without the need for sliding mechanisms which create stresses and wear and are prone to failure.
  • a hospital bed embodying the invention includes a deck supporting a mattress or other person support element.
  • the deck may be divided into articulated sections (not shown) so as to create various seating and lying down configurations.
  • Articulated beds with a controllable articulation system for the person support surface are known and are not a novel and inventive part of the subject invention so will not be described in detail.
  • the hospital bed includes a deck support frame 3 to which a head board (not shown) and a foot board (not shown) may be mounted.
  • the head board is mountable on head board plates 33 and the foot board on foot board plates 34.
  • the deck support frame 3 has two leg or support structures 6f, 6h pivotally mounted or coupled to its under surface.
  • Each of the leg structures 6f, 6h include a pair of legs 7 each coupled to the deck support frame 3 by a moveable upper pivot 8 at their deck or upper end 9.
  • the moveable upper pivot 8 can move parallel to the longitudinal axis of the deck frame.
  • the moveable upper pivot of the left-hand leg in Figure 1 can move in the directions shown by arrows D1, D2 in Figures 2 and 3 to respectively lower and raise the deck support frame 3.
  • the lower portions of the legs 7 of each pair of legs are connected together by a lower bracing cross-element 10 at the bottom 12 of the legs.
  • the lower ends of the legs are also pivotally connected to a support frame including longitudinal side elements 35 which have wheels or castors 14 for movement of the bed along the floor.
  • the lower cross-elements 10 are each in turn connected to the lower longitudinal or side elements 35 and able to rotate about their longitudinal axis.
  • Each end of the foot end leg assembly lower cross-element 10f is pivotally connected to a lower portion of a respective length extension element 42 and the upper portion of each length extension element 42 is pivotally connected to a lower longitudinal side element 35.
  • the foot and head ends of the lower side elements 35 each have a castor or castor device 14 so that the support assembly can move over a floor or surface on which it is placed.
  • a pair of stabilizer elements 16 are connected to each pair of legs.
  • a stabilizer element is connected to and links each leg to the underside of the deck support frame.
  • the stabilizer elements 16, which are each coupled to a leg 7, are pivotally connected at their first upper ends 17 to the underside of the deck support frame 3.
  • the upper ends 17 of each stabilizer are connected to a fixed upper pivot 18 displaced from the leg upper moveable pivot 8 of the respective leg, and are pivotally connected at their second lower ends 19 to the respective pair of legs at a pair of respective lower stabilizer pivots 20.
  • a stabilizer cross-element 37 is pivotally connected between the pair of stabilizers 16 for each leg assembly.
  • the respective stabilizer cross-element is connected to each respective stabilizer at a point 36 between its upper 17 and lower 19 ends.
  • An actuator-stabilizer yoke 21 is connected to each stabilizer cross-element at a point substantially mid-way along the stabilizer cross-element so that it is in the middle of the bed.
  • the actuator-stabilizer yoke 21 is pivotally coupled to an end of an actuator 22 (which may be an hydraulic actuator) which controllably extends and retracts an actuator rod 23 connected to the actuator-stabilizer yoke 21.
  • Extension and retraction of the actuator rod 23 causes the respective stabilizer cross-element 37 and hence the pair of stabilizers 16 connected to that stabilizer cross-element 37 to move and thence the pair of legs 7 connected to that stabilizer 16 to rotate relative to the deck support frame 3 and thence raises or lowers the deck support frame 3 and the person support surface arranged on that deck support frame.
  • the actuators 22 may be controlled by either the patient or a care-giver. Control mechanisms for such actuators are well known and may be either a foot operated pedal, control panel on the side of the bed, remote control or other control mechanism. Suitable actuators are well known and are therefore not described in detail in this application. They may be hydraulic, electric or pneumatic. An example of hydraulic actuators controlling the height of a deck is described in EP 2 181 685 and WO 2004/021952 .
  • the deck support frame 3 is formed by three sides of a rectangle and comprises parallel side elements 24 connected at their head ends by a head frame element 25.
  • One of the known person support deck arrangements such as that described in EP 2 181 685 and WO 2004/021952 may be secured to the person support frame.
  • the bottom end of the foot end leg elements 7f are each coupled to a length extension piece 42.
  • the top end of the length extension piece is pivotally connected to the longitudinal rails 35 on the bottom frame and the bottom end of the leg extension piece is pivotally coupled to the bottom end portion of the respective leg element 7f.
  • a length extension bracket 43 is fixed to the underside of the lower rail 35.
  • the length extension piece comprises two plate-like elements 44 connected at their mid-point by a length extension cross-element 45.
  • the top end of the length extension piece 42 is pivotally connected to the length extension bracket 43 by a first axle or nut and bolt arrangement 46, and the lower end of the length extension piece is pivotally connected to a rod or bolt 47 extending from the respective end of the lower cross-element 10f at the foot end of the apparatus.
  • the bottom end of the head end leg elements are each pivotally coupled to a head end bracket 48.
  • the head end bracket 48 is fixed to the underside of a respective lower rail 35.
  • the lower cross-element at the head end is pivotally coupled to the head end bracket 48.
  • a rod or bolt extending from the respective end of the lower cross-element 10h runs through and is held within holes in the head end bracket 48 in a manner similar to the pivotable connection between the foot end cross-element 10f and the length extension bracket 42.
  • the length extension piece pivots in direction B about its upper pivot 46 to extend the distance between the foot end lower leg pivot 49 or fixing on the foot end leg assembly 7f and the head end lower leg pivot 50 or fixing and thereby allow the frame to effectively take up a stable Trendelenburg (or reverse Trendelenburg) position.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nursing (AREA)
  • Invalid Beds And Related Equipment (AREA)

Claims (7)

  1. Patientenunterstützungsvorrichtung bestehend aus:
    einem Element, einer Oberfläche oder einem Rahmen (3) zur Patientenunterstützung mit zwei Seiten, einem Kopfende und einem Fußende,
    und einer Tragkonstruktion zur Aufnahme des Elements, der Oberfläche oder des Rahmens zur Patientenunterstützung und zur Bewegung desselben/derselben relativ zu einer Bodenfläche,
    wobei die Tragkonstruktion umfasst:
    einen unteren Rahmen mit einem Paar in Längsrichtung verlaufender unterer Rahmenelemente (35), die sich weitgehend parallel zu den Seiten des Elements, der Oberfläche oder des Rahmens zur Patientenunterstützung erstrecken, wobei der untere Rahmen mit dem Boden in Kontakt kommende Elemente (14) zur Auflagerung des unteren Rahmens oberhalb des Bodens besitzt;
    dadurch gekennzeichnet, dass:
    zur Patientenunterstützungsvorrichtung des Weiteren mindestens ein Beinteil (6f) gehört, wobei das Beinteil ein Beinelement (7f) umfasst, das mit einem ersten Ende schwenkbar mit dem Element, der Oberfläche oder dem Rahmen zur Patientenunterstützung verbunden und mit einem zweiten Ende schwenkbar an einem in Längsrichtung verlaufenden unteren Rahmenelement (35) angebracht ist, wobei zum Beinteil darüber hinaus ein Stellantriebsstangenelement (23) besitzt, das mit einem ersten Ende schwenkbar mit dem Element, der Oberfläche oder dem Rahmen (3) zur Patientenunterstützung verbunden ist und mit einem zweiten Ende an einer zwischen den ersten und zweiten Enden des Beinelements (7f) gelegenen Stelle so angebracht ist, dass durch das Ausfahren und/oder Zurückziehen der Stellantriebsstange (23) das Element, die Oberfläche oder der Rahmen (3) zur Patientenunterstützung relativ zum unteren Rahmen bewegt wird;
    und wobei das untere Ende des Beinelements (7f) schwenkbar mit dem in Längsrichtung verlaufenden unteren Rahmenelement (35) über ein Verlängerungsteil (42) mit einem ersten Ende und einem zweiten Ende verbunden ist, wobei der erste Endabschnitt des Verlängerungsteils (42) schwenkbar mit dem in Längsrichtung verlaufenden unteren Rahmenelement (35) in Verbindung steht und das zweite Ende des Beinelements schwenkbar an einem zweiten Endabschnitt des Verlängerungsteils angebracht ist.
  2. Vorrichtung nach Anspruch 1, wobei das Beinteil zwei Beinelemente aufweist, wobei ein Beinelement schwenkbar mit jedem der zwei in Längsrichtung verlaufenden unteren Rahmenelemente verbunden ist.
  3. Vorrichtung nach irgendeinem der vorhergehenden Ansprüche, mit einem am Fußende befindlichen Beinteil (6f) und einem am Kopfende befindlichen Fußteil (6h), und wobei das untere Ende entweder des am Kopfende oder des am Fußende befindlichen Beinteils über ein Verlängerungsteil (42) schwenkbar mit dem in Längsrichtung verlaufenden unteren Rahmen (35) verbunden ist und das jeweils andere am Kopfende oder am Fußende befindlichen Teil keine solche Verbindung aufweist.
  4. Vorrichtung nach irgendeinem der vorhergehenden Ansprüche, mit einer umgedrehten weitgehend U-förmigen Konsole (43), die an einer Unterseite des in Längsrichtung verlaufenden unteren Rahmenelements befestigt ist, und wobei der erste Endabschnitt des Verlängerungsteils (42) schwenkbar mit der Konsole (43) verbunden ist.
  5. Vorrichtung nach irgendeinem der vorhergehenden Ansprüche, wobei das Beinteil ein Paar Beinelemente (7f) umfasst, die durch mindestens ein Querelement (10f) verbunden sind, und wobei sich das Querelement zwischen dem unteren Ende eines jeden Beinelements erstreckt und wobei der Endabschnitt des Querelements (10f) mit den jeweils zugehörigen Verlängerungsteilen (42) verbunden und relativ hierzu schwenkbar ist.
  6. Vorrichtung nach Anspruch 5, wobei das Querelement (10f) ein vorstehendes bolzenförmiges Element (47) umfasst, das durch eine Öffnung oder ein Loch im Verlängerungsteil verläuft.
  7. Vorrichtung nach irgendeinem der vorhergehenden Ansprüche, wobei das Verlängerungsteil (42) ein Paar paralleler Platten (44) umfasst.
EP13193366.5A 2013-11-18 2013-11-18 Personentragevorrichtung Not-in-force EP2873399B1 (de)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP13193366.5A EP2873399B1 (de) 2013-11-18 2013-11-18 Personentragevorrichtung

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EP13193366.5A EP2873399B1 (de) 2013-11-18 2013-11-18 Personentragevorrichtung

Publications (2)

Publication Number Publication Date
EP2873399A1 EP2873399A1 (de) 2015-05-20
EP2873399B1 true EP2873399B1 (de) 2016-11-09

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ID=49639731

Family Applications (1)

Application Number Title Priority Date Filing Date
EP13193366.5A Not-in-force EP2873399B1 (de) 2013-11-18 2013-11-18 Personentragevorrichtung

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EP (1) EP2873399B1 (de)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2584927B (en) * 2019-12-18 2021-07-07 Accora Ltd Bed lifting mechanism

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090094747A1 (en) * 2007-10-10 2009-04-16 Invacare Corporation Bed lift mechanism

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004021952A2 (en) 2002-09-06 2004-03-18 Hill-Rom Services, Inc. Hospital bed
US8176584B2 (en) * 2008-08-29 2012-05-15 Hill-Rom Services, Inc. Patient-support apparatus with movable top
US8484780B1 (en) * 2008-11-19 2013-07-16 Gf Health Products, Inc. Height adjustable apparatus with radius arm and idlers
CN202173539U (zh) * 2011-07-21 2012-03-28 广州大学 一种新型双动力垂直升降医护床

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090094747A1 (en) * 2007-10-10 2009-04-16 Invacare Corporation Bed lift mechanism

Also Published As

Publication number Publication date
EP2873399A1 (de) 2015-05-20

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